In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Maintenance therapy of controlled chronic asthma

Severe asthmatic attack

Asthma that is unresponsive to bronchodilator therapy

Acute allergic reaction

Answer and Explanation

The Correct Answer is C

A. Maintenance therapy of controlled chronic asthma

Glucocorticoids are commonly used as maintenance therapy for controlled chronic asthma to prevent exacerbations and maintain long-term control.

B. Severe asthmatic attack

While bronchodilators are often the first-line treatment for a severe asthmatic attack, glucocorticoids may be added to reduce inflammation and improve overall outcomes.

C. Asthma that is unresponsive to bronchodilator therapy

In cases where asthma is unresponsive to bronchodilator therapy or there is an exacerbation of asthma symptoms, glucocorticoids (steroids) are often prescribed. These medications have anti-inflammatory effects and can help reduce airway inflammation, improving symptoms and preventing further exacerbation.

D. Acute allergic reaction

Glucocorticoids may be used in the management of acute allergic reactions, but they are not the first-line treatment. Antihistamines and other medications are typically used initially, and glucocorticoids may be added in certain cases.

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Correct Answer is A

Explanation

A. Epinephrine

Epinephrine is a bronchodilator that can be used in emergencies to treat acute bronchospasm. It works by relaxing the smooth muscles in the airways and can be administered via inhalation or injection. However, it is not typically the first-line treatment for COPD, and other bronchodilators are often preferred.

B. Montelukast (Singulair)

Montelukast is a leukotriene receptor antagonist that is used for the long-term control and prevention of symptoms in conditions like asthma, but it is not typically used for acute bronchospasm. It is more commonly used for maintenance therapy to prevent exacerbations.

C. Theophylline

Theophylline is a bronchodilator that can be used to treat acute bronchospasm in COPD. However, it is not commonly used as a first-line treatment due to its narrow therapeutic range and potential for side effects. It may be considered in certain cases when other bronchodilators are not well-tolerated or effective.

D. Tiotropium Bromide (Spiriva)

Tiotropium bromide is a long-acting antimuscarinic bronchodilator used for the long-term maintenance treatment of COPD. It is not typically prescribed for the treatment of acute bronchospasm but rather for the prevention of symptoms over the long term.

A. Decrease viral load B. Kill tumor cells C. Increase body defenses D. Relieve symptoms

Correct Answer is D

Explanation

A. Decrease viral load:

This is a goal typically associated with antiviral medications, which aim to reduce the amount of virus in the body, commonly seen in the treatment of viral infections like HIV.

B. Kill tumor cells:

This is the goal of many cancer treatments, such as chemotherapy or radiation therapy. These treatments aim to destroy or inhibit the growth of cancer cells.

C. Increase body defenses:

This is a goal often associated with immunotherapy, which aims to enhance the body's immune system to better recognize and attack cancer cells or other pathogens.

D. Relieve symptoms:

This is the primary goal of palliative therapy, which focuses on managing and alleviating symptoms, improving the patient's comfort and quality of life, especially in the context of serious or life-limiting illnesses like cancer.

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In which of the following scenarios would the RN anticipate glucocorticoids (steroids) to be prescribed?

Nursing Test Bank

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Explanation

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Explanation

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